PeriOperative Practice Test
A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take?
Remove the catheter and insert another into a different site
A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?
Platelet count 60,000/mm^3
A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the nurse assesses the clients. Which of the following clients is the nurse's priority?
A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg
A nurse is teaching a client who is preoperative how to do deep-breathing exercises and cough effectively after surgery. Which of the following statements by the client indicated an understanding of the teaching?
"I'll splint my incision with a pillow to cough"
A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following action is considered outside the nurse's responsibilities?
Explaining the operative procedure, risks, and benefits
A nurse is changing the dressing of a client who is 1 week postoperative following abdominal surgery and notes the presence of serosanguineous drainage. The nurse should recognize that this is an indication of which of the following circumstances?
Serosanguineous drainage at this time is a manifestation of possible dehiscence
A nurse is caring for a client who expresses anxiety about his impending surgery. Which of the following actions should the nurse take?
Explore the client's feelings
A client who is about to undergo abdominal surgery states that he is very anxious about the operation. Which of the following responses should the nurse make?
Ask him to describe what he is feeling
A nurse is caring for a client who is 1 day postoperative following gynecologic surgery and reports incisional pain. Which of the following actions should the nurse take first?
Ask the client to rate her pain on a scale from 0 to 10
A nurse is planning preoperative care for a client who will undergo surgery. Which of the following is the priority action by the nurse?
Determine what the client knows about the surgery
A nurse is caring for a client who is postoperative following vascular surgery. Which of the following signs should indicate to the nurse that the client has developed a thrombus?
Dull, aching calf pain (DVT)
A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client who is scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration?
Inhale slowly and evenly through her nose
A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, "Are there other options besides surgery?" Which of the following responses should the nurse make
"Have you discussed other treatments with your provider?"
A nurse is assisting with the admission of a client who is about to have elective surgery. The client tells the nurse she feels anxious. Which of the following responses should the nurse make?
"Tell me more about your concerns"
A nurse is providing preoperative teaching for a client who will undergo surgery. The nurse explains that the client will wear antiembolism stockings during and after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
"They improve your circulation to keep blood from pooling in your legs"
A nurse is caring for surgery. The nurse's role in regard to informed consent is which of the following?
Determining the client's level of understanding about the procedure
A nurse is planning care for a client who states he is anxious concerning abdominal surgery. Which of the following actions should the nurse take?
Encourage the client to express negative emotions
A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete which priority assessment.
Respiratory rate (ABC)/Morphine can cause respiratory depression
A nursing is assessing a client who is 48 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
Yellow-green drainage on the surgical incision
A nurse is caring for an adult who is scheduled for surgery. Which of the following sites should the nurse assess for possible placement of an IV catheter? (Select all that apply) -Great saphenous vein -Cephalic vein -Dorsal plexus -Basilic vein -External jugular vein
-Cephalic vein -Basilic vein
A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?
Pulse oximetry changed from 98% to 96%
A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation. The nurse should understand the the JP drain was placed for which of the following purposes?
To prevent fluid accumulating in the wound